WO2014197516A9 - Système d'appareil dentaire et procédé de fabrication - Google Patents

Système d'appareil dentaire et procédé de fabrication Download PDF

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Publication number
WO2014197516A9
WO2014197516A9 PCT/US2014/040763 US2014040763W WO2014197516A9 WO 2014197516 A9 WO2014197516 A9 WO 2014197516A9 US 2014040763 W US2014040763 W US 2014040763W WO 2014197516 A9 WO2014197516 A9 WO 2014197516A9
Authority
WO
WIPO (PCT)
Prior art keywords
dental
tray
appliance
injection molding
overmolding
Prior art date
Application number
PCT/US2014/040763
Other languages
English (en)
Other versions
WO2014197516A1 (fr
Inventor
Donald FRANTZ
Joseph Frantz
Dane KINCHEN
Original Assignee
Frantz Donald
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Frantz Donald filed Critical Frantz Donald
Priority to JP2016518419A priority Critical patent/JP2016523612A/ja
Priority to CN201480027800.0A priority patent/CN105431107A/zh
Priority to CA2910946A priority patent/CA2910946C/fr
Priority to EP14807523.7A priority patent/EP3003207B1/fr
Publication of WO2014197516A1 publication Critical patent/WO2014197516A1/fr
Priority to PH12015502568A priority patent/PH12015502568A1/en
Publication of WO2014197516A9 publication Critical patent/WO2014197516A9/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/56—Devices for preventing snoring
    • A61F5/566—Intra-oral devices
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29B—PREPARATION OR PRETREATMENT OF THE MATERIAL TO BE SHAPED; MAKING GRANULES OR PREFORMS; RECOVERY OF PLASTICS OR OTHER CONSTITUENTS OF WASTE MATERIAL CONTAINING PLASTICS
    • B29B11/00—Making preforms
    • B29B11/06—Making preforms by moulding the material
    • B29B11/08—Injection moulding
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29C—SHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C45/00—Injection moulding, i.e. forcing the required volume of moulding material through a nozzle into a closed mould; Apparatus therefor
    • B29C45/16—Making multilayered or multicoloured articles
    • B29C45/1676—Making multilayered or multicoloured articles using a soft material and a rigid material, e.g. making articles with a sealing part
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29C—SHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C51/00—Shaping by thermoforming, i.e. shaping sheets or sheet like preforms after heating, e.g. shaping sheets in matched moulds or by deep-drawing; Apparatus therefor
    • B29C51/002—Shaping by thermoforming, i.e. shaping sheets or sheet like preforms after heating, e.g. shaping sheets in matched moulds or by deep-drawing; Apparatus therefor characterised by the choice of material
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29C—SHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C51/00—Shaping by thermoforming, i.e. shaping sheets or sheet like preforms after heating, e.g. shaping sheets in matched moulds or by deep-drawing; Apparatus therefor
    • B29C51/02—Combined thermoforming and manufacture of the preform
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29C—SHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C51/00—Shaping by thermoforming, i.e. shaping sheets or sheet like preforms after heating, e.g. shaping sheets in matched moulds or by deep-drawing; Apparatus therefor
    • B29C51/10—Forming by pressure difference, e.g. vacuum
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29C—SHAPING OR JOINING OF PLASTICS; SHAPING OF MATERIAL IN A PLASTIC STATE, NOT OTHERWISE PROVIDED FOR; AFTER-TREATMENT OF THE SHAPED PRODUCTS, e.g. REPAIRING
    • B29C51/00—Shaping by thermoforming, i.e. shaping sheets or sheet like preforms after heating, e.g. shaping sheets in matched moulds or by deep-drawing; Apparatus therefor
    • B29C51/14—Shaping by thermoforming, i.e. shaping sheets or sheet like preforms after heating, e.g. shaping sheets in matched moulds or by deep-drawing; Apparatus therefor using multilayered preforms or sheets
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C13/00—Dental prostheses; Making same
    • A61C13/20—Methods or devices for soldering, casting, moulding or melting
    • A61C13/206—Injection moulding
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C19/00—Dental auxiliary appliances
    • A61C19/06—Implements for therapeutic treatment
    • A61C19/063—Medicament applicators for teeth or gums, e.g. treatment with fluorides
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • A61C7/08—Mouthpiece-type retainers or positioners, e.g. for both the lower and upper arch
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61C—DENTISTRY; APPARATUS OR METHODS FOR ORAL OR DENTAL HYGIENE
    • A61C7/00—Orthodontics, i.e. obtaining or maintaining the desired position of teeth, e.g. by straightening, evening, regulating, separating, or by correcting malocclusions
    • A61C7/36—Devices acting between upper and lower teeth
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29K—INDEXING SCHEME ASSOCIATED WITH SUBCLASSES B29B, B29C OR B29D, RELATING TO MOULDING MATERIALS OR TO MATERIALS FOR MOULDS, REINFORCEMENTS, FILLERS OR PREFORMED PARTS, e.g. INSERTS
    • B29K2021/00—Use of unspecified rubbers as moulding material
    • B29K2021/003—Thermoplastic elastomers
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29K—INDEXING SCHEME ASSOCIATED WITH SUBCLASSES B29B, B29C OR B29D, RELATING TO MOULDING MATERIALS OR TO MATERIALS FOR MOULDS, REINFORCEMENTS, FILLERS OR PREFORMED PARTS, e.g. INSERTS
    • B29K2067/00—Use of polyesters or derivatives thereof, as moulding material
    • B29K2067/003—PET, i.e. poylethylene terephthalate
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29K—INDEXING SCHEME ASSOCIATED WITH SUBCLASSES B29B, B29C OR B29D, RELATING TO MOULDING MATERIALS OR TO MATERIALS FOR MOULDS, REINFORCEMENTS, FILLERS OR PREFORMED PARTS, e.g. INSERTS
    • B29K2105/00—Condition, form or state of moulded material or of the material to be shaped
    • B29K2105/25—Solid
    • B29K2105/253—Preform
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B29—WORKING OF PLASTICS; WORKING OF SUBSTANCES IN A PLASTIC STATE IN GENERAL
    • B29L—INDEXING SCHEME ASSOCIATED WITH SUBCLASS B29C, RELATING TO PARTICULAR ARTICLES
    • B29L2031/00—Other particular articles
    • B29L2031/753—Medical equipment; Accessories therefor

Definitions

  • the present application relates generally to dental appliance manufacture and methods therefor.
  • appliances exist in which the amount of advancement may be changed, but the changes result in a new fixed position of the mandible many times creating pain and discomfort.
  • Other appliances do not offer easily changed vertical or caudal displacement of the mandible to increase the effectiveness of the appliance.
  • the appliance of the present invention is to greatly reduce, or eliminate, sleep apnea and snoring, while alleviating temporomandibular joint problems, unwanted tooth movement and soreness, with complete adjustability of the appliance both in the amount of forward movement of the lower jaw, and in the amount of vertical bite opening.
  • Another object is a mandibular advancement appliance with high patient acceptance, comfort, and resilience for treatment success.
  • a method for manufacturing a dental appliance includes but is not limited to injection overmolding a thermoplastic polyster-containing material with an thermoplastic elastomer material to form a chemically bonded material; and thermo forming the injection overmolded chemically bonded material to form the dental treatment appliance.
  • a dental appliance in another aspect, includes a tray molded to cover a patient's teeth, the tray formed by thermoforming an overmolded layered composite polymeric material, the dental tray including a thermoplastic material of a first durometer configured for an exterior portion of the tray and a thermoplastic material of a second durometer configured for an interior portion of the tray.
  • Figure 1 A and IB are flow diagrams of a method in accordance with an embodiment of the subject matter of the present application.
  • Figure 2 illustrates a vacuum forming device for thermal forming plastic to a dental mold in accordance with an embodiment of the subject matter of the present application.
  • Figure 3 illustrates a dental appliance in accordance with an embodiment of the subject matter of the present application.
  • a dental appliance is formed by injection molding polymeric material; and thermo forming the injection molded chemically bonded material to form a dental appliance.
  • an injection molded material is used instead of using extruded material in a vacuum forming instrument. It has been discovered that the molecules of an extruded plastic that is vacuum formed for dental appliances become weaker through the thermoprocessing, resulting in a weaker, brittle product.
  • Embodiments herein are directed to different dental appliance techniques achieved by injection molding plastic for dental appliances instead of using extruded plastics.
  • the injection molding process allows not only for a stronger material, but avoids the requirement of glues or lamination processes by enabling overmolding.
  • Material used for the discs currently being used in the dental industry to make devices such as splints, TMJ pain appliances, bleaching trays, and sleep appliances are manufactured from extruded material.
  • the extrusion process is one that forces all of the molecules in the material to be aligned in one direction.
  • the current manufacture of the material is producing 4x8 foot sheets of plastic from which the discs are cut. This creates a disc that is strong in one direction, but creates weakness in other directions, thereby giving inconsistent results.
  • an injection molding process creates discs directly instead of cutting discs from a sheet of material already created by an extrusion process.
  • a method for a producing a dental appliance includes injection molding a thermoplastic elastomer to form a disc; and thermoforming the disc over a desired shape.
  • the thermoplastic elastomer is of a hardness of between 30 and 200 shoreA durometers.
  • the thermoforming can be by vacuum forming over a mold of a patient's teeth. In one embodiment, the thermoforming can be via an alternative to vacuum forming in which exact shape of the teeth is not necessary.
  • thermoplastic elastomer used for injection molding is chemically bonded to an amorphous material during a manufacturing process to form a two-shot disc.
  • Figure 1 is an exemplary flow diagram illustrates the method of manufacturing a dental appliance according to embodiments. More specifically, according to an embodiment, a Block 110 provides preparing a dental thermal-molded treatment appliance, by injection molding a thermoplastic polyester material to form a disc. Block 120 provides for thermoforming the disc over a shape to form the dental thermal- molded treatment appliance. In an embodiment, the thermalforming can be vacuum forming the thermoplastic polyester material onto a model of a patient's teeth such that the thermoplastic polyester material adheres to the mold of the patient's teeth.
  • the injection molding a thermoplastic polyester material to form a disc can include injection molding polyethylene terephthalate (PET) or glycol-modified
  • PTEG polyethylene terephthalate
  • Block 130 provides for injection overmolding a thermoplastic polyster material with a thermoplastic elastomer material to form a chemically bonded material.
  • Block 140 provides for thermoforming the injection overmolded chemically bonded material to form the dental treatment appliance.
  • the thermoforming can be vacuum forming such that the thermoplastic elastomer material side of the chemically bonded material adheres to a mold of the patient's teeth.
  • the injection molding via an overmolding process uses a copolyester and a thermoplastic elastomer (TPE).
  • TPE thermoplastic elastomer
  • the overmolding can use a polyethylene terephtalate (PTE) or a glycol-modified polyethylene terephthalate (PTEG) as with a thermoplastic elastomer (TPE).
  • PTE polyethylene terephtalate
  • PTEG glycol-modified polyethylene terephthalate
  • TPE thermoplastic elastomer
  • the injection molding can include overmolding via a single injection molding cycle using a two-shot process.
  • a dental appliance results that includes a tray molded to cover a patient's teeth, the tray made of a thermoplastic material of a first durometer configured for an exterior portion of the tray, and thermoplastic material of a second durometer configured for an interior portion of the tray.
  • an overmolding of a polyethylene terephtalate (PTE) with a thermoplastic elastomer (TPE) will result in a softer durometer and a harder durometer tray such that an interior portion of the tray is softer than than the exterior portion of the tray.
  • PTE polyethylene terephtalate
  • TPE thermoplastic elastomer
  • the dental appliance can include a second tray using one or more of the processes described herein.
  • the second tray can be an amorphous thermoplastic and the first tray can be formed by thermally molding an overmolded layered composite polymeric material or vice versa.
  • one or more arcuate members can be added to the trays for releasably attaching an elastic band to enable the dental appliance to treating sleep apnea.
  • the material is, preferably a material approved by the U.S. Food and Drug Administration for use in the oral cavity such as PETG 6763 and GLS TPE 3060-1.
  • the dental appliance includes a elastomer polymeric material that is flexible, lightweight, translucent and adapts to the contours of the teeth to permit a self-retentive frictional contact between the device and the associated upper and lower posterior teeth.
  • the flexible material chemically bonded to a firm amorphous material via injection molding to provide resiliency while also providing retention where necessary.
  • the dual-sided appliance will provide better usage by the patient over the homogenously hard plastic material of prior appliances.
  • the elastomer material is of a thickness of between 30 and 200 shoreA durometers.
  • thermo forming can be by vacuum forming as shown in Figure 2.
  • thermo forming can be via an alternative to vacuum forming in which exact shape of the teeth is not necessary.
  • the elastomer material being a softer material
  • the amorphous, harder, material can preferably be thermal formed on the outside of the mold such that the softer material touches the patient's teeth when the dental appliance is inserted.
  • an "over-shot" of the elastomer material can be during a 60 second injection molding cycle.
  • the two materials become one injection overmolded chemically bonded material to form the dental treatment appliance.
  • the overmolding creates a stronger bond than lamination or any uses of glues.
  • One overmolding process is the two- shot injection molding, which involves injecting one material into a mold to form the initial part or section of a part. Once formed, a second material is injected into the mold to form the remainder of the part.
  • Two-shot molding requires that the two materials be compatible (chemically similar), or no bonding occurs.
  • the materials are harder and softer versions of thermoplastics that enable a harder amorphous material to be infused with a softer elastomer material.
  • the two shot, or dual shot process can be accomplished by injecting one material (usually hard material) in a mold and immediately injection shooting a second material (soft) while the first material is still hot.
  • the material for the hard portion of the disk is Eastman copolyester PETG 6763 or copolyester Tritan TX-1000, for example, the first shot injection molding.
  • the material for the second shot can be a GLS/Polyone TPE 3060-1.
  • thermoplastics how to manufacture the material to enable bonding without the use of glues.
  • Rear Barrel Temperature (177 - 216 °C) (351 - 421 °F) Middle Barrel Temperature 182 - 221 °C (360 - 430 °F) Front Barrel Temperature 193 - 232 °C (379 - 450 °F) Nozzle Temperature 204 - 243 °C (399 - 469 °F) Mold Temperature 21.1 - 32.2 °C (70.0 - 90.0 °F) Back Pressure 0.517 - 1.21 MPa (75.0 - 175 psi) Screw Speed 75.0 - 125 rpm
  • FIG 2 in a machine typically seen in a dentist's office, such as a thermo-plastic machine 200.
  • the dentist can place discs of prepared injection molded plastic 210 in the machine so that upon heating and applying a vacuum, the sheets are pulled down over the model 420 of the patent's upper and lower teeth, one at a time.
  • the machine can operate on the upper and lower teeth models separately, as will be appreciated by those skilled in the art.
  • the dental appliance can include dental tray 300 and second dental tray 310, such that each is a tray molded to cover a patient's teeth, the tray formed by thermo forming an overmolded layered composite polymeric material,.
  • Each of tray 300 and 310 can have a thermoplastic material of a first durometer configured for an exterior portion of the tray.
  • the teeth of the patient can be directly in contact with the thermoplastic elastomer material such that an exact fit is not necessary.
  • the thermoplastic elastomer material can create a softer dental appliance when injection molding via an overmolding of a polyethylene terephtalate (PTE) with a thermoplastic elastomer (TPE).
  • PTE polyethylene terephtalate
  • TPE thermoplastic elastomer
  • Each of tray 300 and 310 can further include attachments 320 and/or 330. Attachments 320 enable one or more elastic bands to releasably attach each of tray 300 and 310.
  • Attachments 330 enable a vertical displacement between trays 300 and 310 when inserted into a patient's mouth.

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  • Engineering & Computer Science (AREA)
  • Health & Medical Sciences (AREA)
  • Mechanical Engineering (AREA)
  • Manufacturing & Machinery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Biomedical Technology (AREA)
  • Pulmonology (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Nursing (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Otolaryngology (AREA)
  • Injection Moulding Of Plastics Or The Like (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

L'invention concerne un procédé de préparation d'un appareil dentaire de traitement thermomoulé consistant à mouler par injection un matériau contenant du polyester thermoplastique afin de former un disque; et à thermoformer le disque sur une forme pour former l'appareil dentaire de traitement thermomoulé.
PCT/US2014/040763 2013-06-04 2014-06-03 Système d'appareil dentaire et procédé de fabrication WO2014197516A1 (fr)

Priority Applications (5)

Application Number Priority Date Filing Date Title
JP2016518419A JP2016523612A (ja) 2013-06-04 2014-06-03 歯科用器具システムおよび製造方法
CN201480027800.0A CN105431107A (zh) 2013-06-04 2014-06-03 口腔矫正器系统和制造方法
CA2910946A CA2910946C (fr) 2013-06-04 2014-06-03 Systeme d'appareil dentaire et procede de fabrication
EP14807523.7A EP3003207B1 (fr) 2013-06-04 2014-06-03 Système d'appareil dentaire et procédé de fabrication
PH12015502568A PH12015502568A1 (en) 2013-06-04 2015-11-13 Dental appliance system and method of manufacture

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US201361830755P 2013-06-04 2013-06-04
US201361830994P 2013-06-04 2013-06-04
US61/830,755 2013-06-04
US61/830,994 2013-06-04

Publications (2)

Publication Number Publication Date
WO2014197516A1 WO2014197516A1 (fr) 2014-12-11
WO2014197516A9 true WO2014197516A9 (fr) 2016-02-18

Family

ID=52008542

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2014/040763 WO2014197516A1 (fr) 2013-06-04 2014-06-03 Système d'appareil dentaire et procédé de fabrication

Country Status (7)

Country Link
US (1) US20150013688A1 (fr)
EP (1) EP3003207B1 (fr)
JP (1) JP2016523612A (fr)
CN (1) CN105431107A (fr)
CA (1) CA2910946C (fr)
PH (1) PH12015502568A1 (fr)
WO (1) WO2014197516A1 (fr)

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Also Published As

Publication number Publication date
WO2014197516A1 (fr) 2014-12-11
EP3003207A4 (fr) 2017-01-18
EP3003207A1 (fr) 2016-04-13
PH12015502568B1 (en) 2016-02-29
EP3003207B1 (fr) 2019-09-25
US20150013688A1 (en) 2015-01-15
CN105431107A (zh) 2016-03-23
PH12015502568A1 (en) 2016-02-29
CA2910946C (fr) 2020-03-31
JP2016523612A (ja) 2016-08-12
CA2910946A1 (fr) 2014-12-11

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